Students will receive a grade based on your completion of this form!
Parent/Guardian(s) Full Name
Parent/Guardian(s) Relationship to student
Student First Name(s)
Student Last Name(s)
Preferred type of contact
Does your student have any allergies that I should know about (food and latex in particular)?
Does your student have any behavior or emotional concerns that I should be aware of?
All information provided will be kept confidential!
How would you rate the type of internet access that your student has at home?
Check any that apply, or explain your personal situation in the "other" section.
Full access to internet and devices at home
Some internet access at home, but it is unreliable
Some access at home, but it is dependent upon the amount of data left on a cell phone plan
No access at home, but student does have access to internet because of use of a family member, friend, or business (such as the library)
No internet access and no transportation to free internet access points (such as the library)
What was your student's average science grade last year?
Do you have any other comments, questions, concerns, or advice pertaining to helping your student achieve success in this course?
Student's Class Period
2 Bio II
3 Physical Science
4 Earth Science
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